Incorporating Patient Narratives to Enhance Audiological Care and Clinical Research Outcomes

Author:

Clark Khaya D.123ORCID,Garinis Angela C.145,Konrad-Martin Dawn1

Affiliation:

1. National Center for Rehabilitative Auditory Research, VA Portland Health Care System, OR

2. Hearing Center of Excellence, Department of Defense, San Antonio, TX

3. Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland

4. Department of Otolaryngology-Head & Neck Surgery, Oregon Health & Science University, Portland

5. Oregon Hearing Research Center, Oregon Health & Science University, Portland

Abstract

Purpose The engagement of patients as key stakeholders in their experience of care processes is a critical component of quality improvement efforts for both clinical care and translational research. Increasingly, health care systems are soliciting input from patients on care processes and experiences through surveys, patient interviews, and patient video narratives. The purpose of this viewpoint article is twofold: (a) to describe the increasing role of patient narratives about their experiences with adverse health conditions to inform patient-centered research and quality improvement efforts and (b) to present three patient narratives that highlight the real-world impacts of hearing loss and tinnitus, the life enhancing impacts of aural rehabilitation, and the importance of prospective ototoxicity monitoring in individuals with complex health conditions. Conclusion Patient narratives provide individual patient perspectives that can be used to build awareness of the range of experiences and impact of hearing disorders, and to explore patient preferences for when and how to implement hearing-related clinical services.

Publisher

American Speech Language Hearing Association

Subject

Speech and Hearing

Reference43 articles.

1. A qualitative study on measuring patient‐centered care: Perspectives from clinician‐scientists and quality improvement experts

2. American Academy of Audiology. (2009). AAA position statement & clinical practice guidelines: Ototoxicity monitoring. Audiology.org. https://audiology-web.s3.amazonaws.com/migrated/OtoMonGuidelines.pdf_539974c40999c1.58842217.pdf

3. American Speech-Language-Hearing Association. (n.d). GASHA’s .envisioned future: 2005https://www.asha.org/about/ashasenvisioned-future/

4. American Speech-Language-Hearing Association. (1994). Guidelines for the audiologic management of individuals receiving cochleotoxic drug therapy. ASHA 36 11–19.

5. American Speech-Language-Hearing Association. (2018). Scope of practice in audiology. Retrieved November 30 2020 from https://www.asha.org/policy

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